Multiple Lower Limb Deformities in a 14 Year Old Girl with Multiple Epiphyseal Dysplasia and Low Lumbar Spina Bifida

This is a case of a 14 year old girl with multiple epiphyseal dysplasia (MED) and low lumbar spina bifida presenting with a windswept leg deformity, limb length inequality (LLI), right hip dislocation, left foot and ankle deformity, and long thoracolumbar scoliosis. Each deformity was surgically corrected in a stepwise manner. Several different deformity correction techniques were used including gradual correction with a frame, guided growth and acute correction with an osteotomy.